The American Chiropractic Association states at any one time, nearly 31 million Americans suffer from lower back pain. In 2012, the American Physical Therapy Association surveyed and found more than one-third of adults were affected, but two-thirds of them chose not to seek treatment.

Most cases of lower back pain are related to a mechanical issue. In other words, the pain is related to a musculoskeletal condition, and not the result of an underlying medical condition such as kidney stone, cancer, arthritis or fracture.​Fortunately, many musculoskeletal issues may be successfully addressed without the use of surgery or dangerous drugs. A recent study has demonstrated the average person experienced a one-point reduction in lower back pain following spinal manipulation.